Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health

Endothelial dysfunction is a key early mechanism in a variety of cardiovascular diseases and can be observed in larger conduit arteries as well as smaller resistance vessels (microvascular dysfunction). The presence of endothelial dysfunction is a strong prognosticator for cardiovascular events and...

Full description

Bibliographic Details
Main Authors: Anum S. Minhas, Erin Goerlich, Mary C. Corretti, Armin Arbab-Zadeh, Sebastian Kelle, Thorsten Leucker, Amir Lerman, Allison G. Hays
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.778762/full
_version_ 1818059252617445376
author Anum S. Minhas
Anum S. Minhas
Erin Goerlich
Mary C. Corretti
Armin Arbab-Zadeh
Sebastian Kelle
Thorsten Leucker
Amir Lerman
Allison G. Hays
author_facet Anum S. Minhas
Anum S. Minhas
Erin Goerlich
Mary C. Corretti
Armin Arbab-Zadeh
Sebastian Kelle
Thorsten Leucker
Amir Lerman
Allison G. Hays
author_sort Anum S. Minhas
collection DOAJ
description Endothelial dysfunction is a key early mechanism in a variety of cardiovascular diseases and can be observed in larger conduit arteries as well as smaller resistance vessels (microvascular dysfunction). The presence of endothelial dysfunction is a strong prognosticator for cardiovascular events and mortality, and assessment of endothelial function can aid in selecting therapies and testing their response. While the gold standard method of measuring coronary endothelial function remains invasive angiography, several non-invasive imaging techniques have emerged for investigating both coronary and peripheral endothelial function. In this review, we will explore and summarize the current invasive and non-invasive modalities available for endothelial function assessment for clinical and research use, and discuss the strengths, limitations and future applications of each technique.
first_indexed 2024-12-10T13:13:34Z
format Article
id doaj.art-ba1cb475901d4ec1aa74b5f9d22d9941
institution Directory Open Access Journal
issn 2297-055X
language English
last_indexed 2024-12-10T13:13:34Z
publishDate 2022-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cardiovascular Medicine
spelling doaj.art-ba1cb475901d4ec1aa74b5f9d22d99412022-12-22T01:47:37ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-04-01910.3389/fcvm.2022.778762778762Imaging Assessment of Endothelial Function: An Index of Cardiovascular HealthAnum S. Minhas0Anum S. Minhas1Erin Goerlich2Mary C. Corretti3Armin Arbab-Zadeh4Sebastian Kelle5Thorsten Leucker6Amir Lerman7Allison G. Hays8Division of Cardiology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesDivision of Cardiology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDivision of Cardiology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDivision of Cardiology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Internal Medicine and Cardiology, German Heart Center Berlin, Berlin, GermanyDivision of Cardiology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDivision of Ischemic Heart Disease and Critical Care, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesDivision of Cardiology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesEndothelial dysfunction is a key early mechanism in a variety of cardiovascular diseases and can be observed in larger conduit arteries as well as smaller resistance vessels (microvascular dysfunction). The presence of endothelial dysfunction is a strong prognosticator for cardiovascular events and mortality, and assessment of endothelial function can aid in selecting therapies and testing their response. While the gold standard method of measuring coronary endothelial function remains invasive angiography, several non-invasive imaging techniques have emerged for investigating both coronary and peripheral endothelial function. In this review, we will explore and summarize the current invasive and non-invasive modalities available for endothelial function assessment for clinical and research use, and discuss the strengths, limitations and future applications of each technique.https://www.frontiersin.org/articles/10.3389/fcvm.2022.778762/fullcoronary MRIendothelial functionCADCMRvascular disease
spellingShingle Anum S. Minhas
Anum S. Minhas
Erin Goerlich
Mary C. Corretti
Armin Arbab-Zadeh
Sebastian Kelle
Thorsten Leucker
Amir Lerman
Allison G. Hays
Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health
Frontiers in Cardiovascular Medicine
coronary MRI
endothelial function
CAD
CMR
vascular disease
title Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health
title_full Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health
title_fullStr Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health
title_full_unstemmed Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health
title_short Imaging Assessment of Endothelial Function: An Index of Cardiovascular Health
title_sort imaging assessment of endothelial function an index of cardiovascular health
topic coronary MRI
endothelial function
CAD
CMR
vascular disease
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.778762/full
work_keys_str_mv AT anumsminhas imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT anumsminhas imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT eringoerlich imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT maryccorretti imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT arminarbabzadeh imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT sebastiankelle imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT thorstenleucker imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT amirlerman imagingassessmentofendothelialfunctionanindexofcardiovascularhealth
AT allisonghays imagingassessmentofendothelialfunctionanindexofcardiovascularhealth